Page last updated: 2024-10-25

clonidine and Fecal Incontinence

clonidine has been researched along with Fecal Incontinence in 5 studies

Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.

Fecal Incontinence: Failure of voluntary control of the anal sphincters, with involuntary passage of feces and flatus.

Research Excerpts

ExcerptRelevanceReference
"Fecal incontinence severity was assessed with daily bowel diaries and periodic questionnaires (fecal incontinence severity score [FISS], FIQOL, 36-Item Short Form Health Survey [SF-36], and hospital anxiety and depression scales) for 4 weeks before and during double-blind randomization to placebo or clonidine in 44 women with FI."5.22Validating endpoints for therapeutic trials in fecal incontinence. ( Bharucha, AE; Noelting, J; Zinsmeister, AR, 2016)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's5 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Sharma, M1
Feuerhak, K1
Zinsmeister, AR4
Bharucha, AE4
Fletcher, JG1
Camilleri, M1
Edge, J1
Carlson, P1
Wald, A1
Noelting, J1
Seide, BM1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Placebo-Controlled Study of Clonidine for Fecal Incontinence.[NCT00884832]Phase 244 participants (Actual)Interventional2008-10-31Completed
Treatment of Diarrhea-Associated Fecal Incontinence With Eluxadoline[NCT03489265]Phase 20 participants (Actual)Interventional2019-04-30Withdrawn (stopped due to Difficult to recruit severely affected patients with fecal incontinence)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Impact of Fecal Incontinence on Baseline Quality of Life

"Scores were computed from a pre-treatment questionnaire, the Fecal Incontinence Quality of Life Scale. This scale is composed of a total of 29 items; these items form four scales: Lifestyle (10 items) Coping/Behavior (9 items), Depression/Self Perception (7 items), and Embarrassment (3 items).~Scales range from 1 to 4; with a 1 indicating a lower functional status of quality of life. Scales scores are the average (mean) response to all items in the scale (that is, add the responses to all questions in a scale together and then divide by the number of items in the scale, adjusting for missing values)." (NCT00884832)
Timeframe: 4 weeks baseline

,
Interventionunits on a scale (Mean)
Lifestyle scoreCoping scoreDepression scoreEmbarrassment score
Oral Clonidine2.81.83.22.2
Oral Placebo2.31.62.92.3

Impact of Fecal Incontinence on Post-Treatment Quality of Life

"Scores were computed from a post-treatment questionnaire, the Fecal Incontinence Quality of Life Scale. This scale is composed of a total of 29 items; these items form four scales: Lifestyle (10 items) Coping/Behavior (9 items), Depression/Self Perception (7 items), and Embarrassment (3 items).~Scales range from 1 to 4; with a 1 indicating a lower functional status of quality of life. Scales scores are the average (mean) response to all items in the scale (that is, add the responses to all questions in a scale together and then divide by the number of items in the scale, adjusting for missing values)." (NCT00884832)
Timeframe: after 4 weeks treatment

,
Interventionunits on a scale (Mean)
Lifestyle scoreCoping scoreDepression scoreEmbarrassment score
Oral Clonidine3.12.33.52.8
Oral Placebo2.72.13.22.5

Mean Fecal Incontinence and Constipation Assessment (FICA) Score

The FICA severity scale has 4 items (frequency, type, amount of leakage, and presence of urgency) and is used to rate the severity of fecal incontinence. The parameter was computed from values in the weekly diaries. The FICA score can range from 1 to 13. Symptom severity scores of 1-6, 7-10, and 11-13 are categorized as mild, moderate, and severe, respectively. Scores were averaged over the 4 week baseline period and the 4 week treatment periods. (NCT00884832)
Timeframe: 4 weeks baseline, 4 weeks treatment

,
Interventionunits on a scale (Mean)
4 weeks baseline4 weeks treatment
Oral Clonidine8.16.5
Oral Placebo9.17.6

Mean Number of Days With Fecal Incontinence

Values were averaged over 4 week baseline and 4 week treatment periods. (NCT00884832)
Timeframe: 4 weeks baseline, 4 weeks treatment

,
Interventiondays (Mean)
4 weeks baseline4 weeks treatment
Oral Clonidine138
Oral Placebo1611

Mean Number of Fecal Incontinence Episodes

Values were averaged over 4 week baseline and 4 week treatment periods. (NCT00884832)
Timeframe: 4 weeks baseline, 4 weeks treatment

,
Interventionnumber of episodes (Mean)
4 weeks baseline4 weeks treatment
Oral Clonidine2012
Oral Placebo3119

Mean Percentage of Bowel Movements Which Were Incontinent

Values were averaged over 4 week baseline and 4 week treatment periods. (NCT00884832)
Timeframe: 4 weeks baseline, 4 weeks treatment

,
Interventionpercentage of bowel movements (Mean)
4 weeks baseline4 weeks treatment
Oral Clonidine3124
Oral Placebo4027

Mean Severity of Fecal Incontinence

The Fecal Incontinence Severity Index was used to compute the severity of fecal incontinence (FI). It is a validated 4-item scale used to assess the frequency of 4 different types of FI (gas, mucus, liquid stool, solid stool). The subject responses are weighted and summed for the 4 types of FI. Scores could range from 0 (no symptoms) to 61 (very frequent FI). Values were computed from pre- and post- treatment questionnaires. (NCT00884832)
Timeframe: 4 weeks baseline, 4 weeks treatment

,
Interventionunits on a scale (Mean)
4 weeks baseline4 weeks treatment
Oral Clonidine36.229.3
Oral Placebo37.331.2

Percentage of Bowel Movements Preceded by Rectal Urgency

Rectal urgency is defined as a sudden, irresistible need to have a bowel movement. Scores were averaged over the 4 week baseline period and the 4 week treatment periods. (NCT00884832)
Timeframe: 4 weeks baseline, 4 weeks treatment

,
Interventionpercentage of bowel movements (Mean)
4 weeks baseline4 weeks treatment
Oral Clonidine5546
Oral Placebo5946

Percentage of Bowel Movements With Semi-formed and Loose Stools in Subjects With and Without Diarrhea

The percentage of bowel movements with semi-formed and loose stools was defined as those with a score of 5-7 on the Bristol stool form scale. (NCT00884832)
Timeframe: 4 weeks baseline, 4 weeks treatment

,
Interventionpercentage of bowel movements (Mean)
4 weeks baseline, subjects without diarrhea4 weeks baseline, subjects with diarrhea4 weeks treatment, subjects without diarrhea4 weeks treatment, subjects with diarrhea
Oral Clonidine19.447.51431.2
Oral Placebo25.551.61649

Percentage of Bowel Movements With Semi-formed and Loose Stools Post-treatment Adjusted for Baseline

"The percentage of bowel movements with semi-formed and loose stools was defined as those with a score of 5-7 on the Bristol stool form scale. The adjustment for baseline was an analysis of covariance (ANCOVA) where the covariate was the baseline version of the endpoint." (NCT00884832)
Timeframe: 4 weeks treatment

,
Interventionpercentage of bowel movements (Mean)
Subjects with diarrheaSubjects without diarrhea
Oral Clonidine23.625.4
Oral Placebo38.722.8

Percentage of Days With Fecal Incontinence (FI)

(NCT00884832)
Timeframe: 4 weeks baseline, 4 weeks treatment

,
Interventionpercentage of days (Mean)
4 weeks baseline, subjects without diarrhea4 weeks baseline, subjects with diarrhea4 weeks treatment, subjects without diarrhea4 weeks treatment, subjects with diarrhea
Oral Clonidine28.735.423.224.3
Oral Placebo37.842.118.733.3

Percentage of Days With FI Post-treatment Adjusted for Baseline

"The adjustment for baseline was an analysis of covariance (ANCOVA) where the covariate was the baseline version of the endpoint." (NCT00884832)
Timeframe: 4 weeks treatment

,
Interventionpercentage of days (Mean)
Subjects without diarrheaSubjects with diarrhea
Oral Clonidine42.5427.79
Oral Placebo31.4239.51

Satisfaction With Treatment

"This parameter was determined by a 100 mm visual analog scale, with possible scores ranging from 0 = Not satisfied at all (no relief of symptoms) to 100 = Completely satisfied (symptoms resolved). The parameter was computed from weekly diaries. Scores were averaged over the 4 week baseline period and the 4 week treatment periods." (NCT00884832)
Timeframe: 4 weeks baseline, 4 week treatment

,
Interventionunits on a scale (Mean)
4 weeks baseline4 weeks treatment
Oral Clonidine2247
Oral Placebo1838

Trials

4 trials available for clonidine and Fecal Incontinence

ArticleYear
A pharmacological challenge predicts reversible rectal sensorimotor dysfunctions in women with fecal incontinence.
    Neurogastroenterology and motility, 2018, Volume: 30, Issue:10

    Topics: Adrenergic alpha-2 Receptor Agonists; Adult; Atropine; Clonidine; Double-Blind Method; Fecal Inconti

2018
Effects of clonidine in women with fecal incontinence.
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2014, Volume: 12, Issue:5

    Topics: Administration, Oral; Adolescent; Adrenergic alpha-2 Receptor Agonists; Aged; Anal Canal; Clonidine;

2014
Validating endpoints for therapeutic trials in fecal incontinence.
    Neurogastroenterology and motility, 2016, Volume: 28, Issue:8

    Topics: Clonidine; Double-Blind Method; Fecal Incontinence; Female; Humans; Middle Aged; Quality of Life; Se

2016
The effects of clonidine on symptoms and anorectal sensorimotor function in women with faecal incontinence.
    Alimentary pharmacology & therapeutics, 2010, Volume: 32, Issue:5

    Topics: Clonidine; Defecation; Fecal Incontinence; Female; Humans; Middle Aged; Sensation; Severity of Illne

2010

Other Studies

1 other study available for clonidine and Fecal Incontinence

ArticleYear
Clonidine and botulinum toxin: a tale of two treatments.
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2014, Volume: 12, Issue:5

    Topics: Adrenergic alpha-2 Receptor Agonists; Clonidine; Fecal Incontinence; Female; Humans

2014